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Emerging potential benefits of modulating NAD + metabolism in cardiovascular disease
Journal article   Open access   Peer reviewed

Emerging potential benefits of modulating NAD + metabolism in cardiovascular disease

Daniel S Matasic, Charles Brenner and Barry London
American journal of physiology. Heart and circulatory physiology, Vol.314(4), pp.H839-H852
04/01/2018
DOI: 10.1152/ajpheart.00409.2017
PMCID: PMC5966770
PMID: 29351465
url
https://doi.org/10.1152/ajpheart.00409.2017View
Published (Version of record) Open Access

Abstract

Nicotinamide adenine dinucleotide (NAD ) and related metabolites are central mediators of fuel oxidation and bioenergetics within cardiomyocytes. Additionally, NAD is required for the activity of multifunctional enzymes, including sirtuins and poly(ADP-ribose) polymerases that regulate posttranslational modifications, DNA damage responses, and Ca signaling. Recent research has indicated that NAD participates in a multitude of processes dysregulated in cardiovascular diseases. Therefore, supplementation of NAD precursors, including nicotinamide riboside that boosts or repletes the NAD metabolome, may be cardioprotective. This review examines the molecular physiology and preclinical data with respect to NAD precursors in heart failure-related cardiac remodeling, ischemic-reperfusion injury, and arrhythmias. In addition, alternative NAD -boosting strategies and potential systemic effects of NAD supplementation with implications on cardiovascular health and disease are surveyed.
Cardiovascular Diseases - physiopathology NAD - therapeutic use Cardiovascular Diseases - metabolism Oxidation-Reduction Cardiovascular Diseases - drug therapy Humans NAD - adverse effects Cardiovascular Diseases - pathology Cardiovascular Agents - therapeutic use Myocytes, Cardiac - pathology Animals Myocytes, Cardiac - drug effects Signal Transduction - drug effects Myocytes, Cardiac - metabolism Dietary Supplements - adverse effects Cardiovascular Agents - adverse effects Energy Metabolism - drug effects NAD - metabolism

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